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EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION

Internal Medicine·NORFOLK, VA·NPI: 1003887118Share

Compared to Internal Medicine Peers

Total spending distribution among 26 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.1M is at the 50th percentile among 26 Internal Medicine providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$33.1M

$33,129,767

Total Claims

588K

Beneficiaries

455K

1.3 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+86%
2019
$4.7M
-5%
2020
$4.5M
+14%
2021
$5.1M
+2%
2022
$5.2M
+17%
2023
$6.1M
-18%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 25% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$8.1M

131K claims · 24.6%

Your Cost: $62.38/claim|Median: $53.41
1.2× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$3.5M

39K claims · 10.4%

Your Cost: $88.89/claim|Median: $58.55
1.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$3.3M

24K claims · 10.0%

Your Cost: $139.74/claim|Median: $106.79
1.3× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$3.1M

73K claims · 9.4%

Your Cost: $42.86/claim|Median: $37.81
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.2M

64K claims · 6.6%

Your Cost: $33.83/claim|Median: $23.99
1.4× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$1.7M

22K claims · 5.0%

Your Cost: $74.70/claim|Median: $47.65
1.6× median
59025Normal range

Fetal non-stress test

$1.6M

44K claims · 4.9%

Your Cost: $37.10/claim|Median: $26.45
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$995K

11K claims · 3.0%

Your Cost: $93.63/claim|Median: $67.32
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$814K

16K claims · 2.5%

Your Cost: $51.87/claim|Median: $35.30
1.5× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$721K

11K claims · 2.2%

Your Cost: $64.65/claim|Median: $36.79
1.8× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$597K

6,451 claims · 1.8%

Your Cost: $92.61/claim|Median: $84.03
1.1× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$522K

6,939 claims · 1.6%

Your Cost: $75.30/claim|Median: $41.92
1.8× median
76825Top 25%

$502K

2,490 claims · 1.5%

Your Cost: $201.71/claim|Median: $103.74
1.9× median
59409Normal range

Vaginal delivery only

$358K

537 claims · 1.1%

Your Cost: $666.67/claim|Median: $619.91
1.1× median
76830Top 25%

Ultrasound, transvaginal

$348K

3,629 claims · 1.1%

Your Cost: $96.03/claim|Median: $57.47
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$325K

11K claims · 1.0%

Your Cost: $28.78/claim|Median: $25.06
1.1× median
76820Normal range

$307K

8,756 claims · 0.9%

Your Cost: $35.09/claim|Median: $31.79
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$282K

2,996 claims · 0.9%

Your Cost: $94.18/claim|Median: $74.09
1.3× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$271K

162 claims · 0.8%

Your Cost: $1,674.23/claim|Median: $1,482.45
1.1× median
99231Normal range

Subsequent hospital care, per day, low complexity

$235K

10K claims · 0.7%

Your Cost: $22.64/claim|Median: $16.77
1.3× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$232K

4,850 claims · 0.7%

Your Cost: $47.84/claim|Median: $38.83
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$224K

2,640 claims · 0.7%

Your Cost: $85.00/claim|Median: $101.24
0.8× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$196K

3,167 claims · 0.6%

Your Cost: $62.04/claim|Median: $57.85
1.1× median
31231Normal range

Nasal endoscopy, diagnostic

$173K

1,424 claims · 0.5%

Your Cost: $121.63/claim|Median: $98.77
1.2× median
99284Normal range

Emergency dept visit, high complexity

$148K

2,213 claims · 0.4%

Your Cost: $66.80/claim|Median: $69.51
1.0× median
76827Normal range

$135K

2,472 claims · 0.4%

Your Cost: $54.81/claim|Median: $39.58
1.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$132K

264 claims · 0.4%

Your Cost: $501.33/claim|Median: $470.36
1.1× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$116K

1,079 claims · 0.3%

Your Cost: $107.15/claim|Median: $74.78
1.4× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$113K

1,500 claims · 0.3%

Your Cost: $75.41/claim|Median: $51.25
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$110K

3,055 claims · 0.3%

Your Cost: $35.91/claim|Median: $37.22
1.0× median
76821Normal range

$109K

1,741 claims · 0.3%

Your Cost: $62.40/claim|Median: $46.75
1.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$104K

1,633 claims · 0.3%

Your Cost: $63.39/claim|Median: $43.85
1.4× median
59410Normal range

$96K

112 claims · 0.3%

Your Cost: $860.41/claim|Median: $781.64
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$96K

7,770 claims · 0.3%

Your Cost: $12.34/claim|Median: $9.56
1.3× median
59510Normal range

$76K

50 claims · 0.2%

Your Cost: $1,513.36/claim|Median: $1,543.20
1.0× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$73K

736 claims · 0.2%

Your Cost: $99.79/claim|Median: $58.16
1.7× median
96910Normal range

$69K

1,056 claims · 0.2%

Your Cost: $65.47/claim|Median: $51.52
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$61K

1,226 claims · 0.2%

Your Cost: $49.94/claim|Median: $35.80
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$59K

710 claims · 0.2%

Your Cost: $83.44/claim|Median: $85.66
1.0× median
59515Normal range

$58K

66 claims · 0.2%

Your Cost: $871.98/claim|Median: $786.24
1.1× median
99234Normal range

$55K

661 claims · 0.2%

Your Cost: $83.56/claim|Median: $80.89
1.0× median
93325Normal range

$51K

2,991 claims · 0.2%

Your Cost: $17.16/claim|Median: $14.61
1.2× median
54150Normal range

$49K

790 claims · 0.1%

Your Cost: $61.84/claim|Median: $84.60
0.7× median
90674Top 25%

$48K

2,010 claims · 0.1%

Your Cost: $23.79/claim|Median: $15.16
1.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$47K

1,077 claims · 0.1%

Your Cost: $43.31/claim|Median: $40.11
1.1× median
31575Normal range

$44K

605 claims · 0.1%

Your Cost: $73.50/claim|Median: $68.78
1.1× median
59514Top 25%

Cesarean delivery only

$43K

59 claims · 0.1%

Your Cost: $730.18/claim|Median: $452.80
1.6× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$39K

1,608 claims · 0.1%

Your Cost: $24.19/claim|Median: $27.28
0.9× median
81025Top 25%

Urine pregnancy test

$38K

5,601 claims · 0.1%

Your Cost: $6.79/claim|Median: $4.81
1.4× median
31579Normal range

$37K

302 claims · 0.1%

Your Cost: $121.38/claim|Median: $120.24
1.0× median

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$176.3M

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